Kelly, Edward A.
Kelly, Edward A. is an sole proprietor health care provider with primary practice located at 99 Manor Ave , Downingtown PA 19335-2620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, Edward A. can be contacted via phone (610) 269-2377.Contact Information
Primary practice address
99 Manor Ave
Downingtown PA 19335-2620
Phone: (610) 269-2377
Fax: (610) 269-5022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD017677E | Pennsylvania |
Profile Details
| NPI number | 1235122300 |
|---|---|
| LBN Legal business name | Kelly, Edward A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235122300 | NPPES |
| Pw | Other | MD017677E | LICENSE |
| Pw | MEDICAID | 0008960230004 | LICENSE |
| Pw | Other | 2234277001 | LICENSE |
| Pw | Other | 233069058 | LICENSE |
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